Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,219.00 / $11,453.00	Facility		$788.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.23 / $704.45 / $1,192.43	Professional		$617.23	$704.45	$1,192.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $56.19 / $56.19	Professional		$56.19	$56.19	$56.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,491.08 / $4,325.17 / $8,431.35	Facility		$2,491.08	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.69 / $813.48 / $1,108.52	Professional		$642.69	$813.48	$1,108.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $638.44 / $647.48	Facility		$80.00	$638.44	$647.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.96 / $791.96 / $791.96	Facility		$791.96	$791.96	$791.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.41 / $914.95 / $1,407.15	Professional		$684.41	$914.95	$1,407.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,614.67 / $11,500.00 / $26,542.00	Facility		$2,614.67	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,050.16 / $5,145.35 / $6,023.55	Professional		$5,050.16	$5,145.35	$6,023.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $666.16 / $873.61 / $1,330.23	Facility		$666.16	$873.61	$1,330.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $860.83 / $1,032.99 / $1,280.91	Professional		$860.83	$1,032.99	$1,280.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $886.70 / $886.70 / $886.70	Professional		$886.70	$886.70	$886.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $671.79 / $873.72 / $1,401.06	Facility		$671.79	$873.72	$1,401.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.09 / $947.54 / $1,444.45	Professional		$707.09	$947.54	$1,444.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,210.00 / $10,476.00	Facility		$1,693.00	$5,210.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.66 / $733.10 / $1,147.38	Professional		$535.66	$733.10	$1,147.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $587.75 / $666.16 / $927.15	Professional		$587.75	$666.16	$927.15